Active NPI
Michael David Beckman, MD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- San Jose, CA
National Provider Identifier
1982191722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- A175183
- Practice address
- 1604 Blossom Hill Rd Ste 10
San Jose, CA 95124-6350 - Phone
- (408) 528-8833
- NPI assigned
- Apr 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | A175183 | CA | Primary |
Addresses
Primary practice location
1604 Blossom Hill Rd Ste 10
San Jose, CA 95124-6350
Mailing address
1604 Blossom Hill Rd Ste 10
San Jose, CA 95124-6350
Phone (408) 528-8833
Other practice location 1
506 6th St
Brooklyn, NY 11215-3609
Phone (718) 780-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210506003099 | CA | Order and Referring Only - Physical Medicine and Rehabilitation | 9830508621 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A175183 | CA | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663286400000",
"number": "1982191722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 BLOSSOM HILL RD STE 10",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951246350",
"telephone_number": "408-528-8833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 BLOSSOM HILL RD STE 10",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951246350",
"telephone_number": "408-528-8833"
}
],
"practiceLocations": [
{
"address_1": "506 6th St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112153609",
"country_code": "US",
"telephone_number": "718-780-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BECKMAN",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-17",
"last_updated": "2022-09-16",
"certification_date": "2022-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "CA",
"license": "A175183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.